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Organization
PERU FAMILY MEDICINE, PLLC
Active
Organization
PERU FAMILY MEDICINE, PLLC
Active
Other names
Peru Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W SMITH M.D. (SOLE MEMBER)
(518) 643-7037
Entity
Organization
Contact information
Practice address
9 ELM ST, PERU, NY 12972-2812
(518) 643-7037
(518) 643-2125
Mailing address
PO BOX 599, PERU, NY 12972-0599
(518) 643-7037
(518) 643-2125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
190218
NY
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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